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1508533746
MICHAEL JASON BRANNIGAN
BATH, NY
NPI
1508533746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 36354)
Enumeration Date
2021-08-25
Last Update Date
2021-08-25
Business Address
Mr. MICHAEL JASON BRANNIGAN CASAC-T
115 LIBERTY ST
BATH, NY 14810-1508
Phone number: 607-664-2156
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Mailing Address
Mr. MICHAEL JASON BRANNIGAN CASAC-T
113 MAPLE HTS
BATH, NY 14810-1013
Phone number: 607-329-1026
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